FIELD: neurosurgery.
SUBSTANCE: method consists in removing the coccyx through paracoccygeal access, while the destruction of the bone structure of the coccyx is carried out with ultrasound, the outer part of the terminal filament is isolated and cut off from the fibrous capsule, a track of 3 grams of powder of dried human dura mater 5 mm wide is poured onto the bottom of the wound along the midline of the patient’s body from the anal-coccygeal ligament to the sacrum.
EFFECT: method ensures the elimination of tension in the terminal filum of the cauda equina of the spinal cord (filum terminale externum) with the simultaneous creation of conditions to form a connective tissue cord connecting the anal-coccygeal ligament to the sacrum to reduce the risk of anal incontinence by applying powder from the dura mater.
1 cl, 2 ex
